Active NPI
Ivanna Homecare
- In Home Supportive Care Agency
- Dallas, GA
National Provider Identifier
1487593919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IVANNA HOMECARE
- Practice address
- 66 Longwood CT
Dallas, GA 30132-1146 - Phone
- (470) 794-7254
- Fax
- (470) 794-7254
- NPI assigned
- Mar 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercy Ekeuwa
- Title
- Registered Nurse
- Phone
- (470) 794-7254
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
66 Longwood CT
Dallas, GA 30132-1146
Mailing address
PO Box 66
Dallas, GA 30132-0002
Phone (404) 287-7713
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1487593919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320002",
"telephone_number": "404-287-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 LONGWOOD CT",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321146",
"telephone_number": "470-794-7254",
"fax_number": "470-794-7254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVANNA HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "EKEUWA",
"authorized_official_first_name": "MERCY",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "470-794-7254"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.